Abstract
Background and Objectives: The purpose of this study was to investigate the correlation between the Korean version of the trunk control measurement scale (K-TCMS) and the selective control assessment of the lower extremity (SCALE). Through this, we tried to find out the effect of proximal stabilization on distal motor development. Materials and Methods: Fifty-one children with gross motor function classification system level I–III, diagnosed with cerebral palsy (CP), were studied. The K-TCMS was used to evaluate the body control ability of the children. SCALE was used to quantify selective voluntary motor control (SVMC). Results: Analysis of SCALE and K-TCMS showed a significant positive correlation in all items. Multiple regression analysis showed that the SCALE score decreased as age increased, and that it increased as the static sitting balance ability score and the dynamic sitting balance ability score of the K-TCMS increased significantly (p < 0.05). Conclusions: In children with cerebral palsy, there was a close correlation between trunk control and selective voluntary motor control of the lower extremities. Therefore, when trying to improve the lower extremity function of a child with cerebral palsy, a trunk control intervention should be considered.
Highlights
Cerebral palsy (CP), which is due to a non-progressive disorder occurring in the brain, is a permanent impairment of movement and postural development, which causes activity limitation [1]
We investigated the correlation between trunk control measurement scale (TCMS) and selective control assessment of the lower extremity (SCALE) in children with cerebral palsy (CP) and tried to find out the effect of proximal stabilization on distal motor development through this correlation
Panibatla et al reported that impairment of trunk control affects functional abilities, and trunk control and balance ability suggest that it is an essential element of functional ability in CP [24]
Summary
Cerebral palsy (CP), which is due to a non-progressive disorder occurring in the brain, is a permanent impairment of movement and postural development, which causes activity limitation [1]. In recent clinical trials, it has been reported that trunk control intervention based on neurodevelopmental treatment improves postural control, balance, and gross motor functions in children with CP more effectively than conventional treatments [26,27,28]. With this as background, we have set up two hypotheses: (1) there will be a significant (high) correlation between TCMS and SCALE; and (2) the development of postural stability in the proximal part of the body will precede the development of distal motor function. In this study, we aimed to investigate the correlation between TCMS and SCALE in children with CP and tried to find out whether stabilization of the proximal part precedes the development of distal motor neuron function
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